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DIT Step 2 > Psych > Flashcards

Psych Flashcards

1
Q

Major Depression requirements for dx

A

2 weeks with 5 or more symptoms of SIGECAPS if anhedonia or depressed mood

Sleep, interest, guilt, energy,, concentration, appetite, psychomotor (leaden paralysis or antzy), suicide

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2
Q

True or false, hyperparathyroidism can cause depression?

A

Yes, think calcium and psychiatric overtones

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3
Q

Dopamine blockers canc ause depression

A

Like metaclopramide, prochlorperazine, haloperidol

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4
Q

Med used for viral hepatitis that causes depression?

A

Interferon alpha

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5
Q

Atypical depression is what?

Treatment?

A

Like Karly.

Responds to MAOi’s (though SSRI is first line)

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6
Q

Peripartum depression is up to 4 weeks later. Psychotic features can happen b/c of depression

A

oh!

Important to differntiate mood disorder secondary to pyschoses and schizoaffective

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7
Q

Persistent depressive disorder

A

2 years or longer without 2 months without symptoms.

Need depressed mood plus 2 SIGECAPS

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8
Q

Desvenlafaxine, duloxetine, milnacipran, venlafaxine are what?

A

SNRIs and dizziness, serotonin syndrome, SEX DYSFUNCITON!

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9
Q

Serotonin syndrome sx?

A

Mental status change, autonomic excitation, neuromuscular hyperactive, OCULAR CLONUS

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10
Q

Drugs that increase risk of serotonin. ESPECIALLY the antibiotic

A

SSRI, SNRI, MAOIs, St johns, tryptophan (precursur)

LINEZOLID

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11
Q

Tx of serotonin syndrome?

A

Discontinue
Supportive and vitals
Benzos for sedation
If temp above 41, PARALYZE and mechanically cool

If still agitated, use cyproheptadine

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12
Q

What is cyproheptadine used for?

A

Still agitated after bento given after serotonin syndrome

it is serotonin antagonist

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13
Q

Neuromalignant syndrome vs Serotonin syndrome?

A

NMS is gradula onset and rigidity wearas 5HT is hyperkinesis and clonus

both have autonomic instability, hyperthermia and muscle problems

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14
Q

Bupropion mechanism?

what is nice about it?

Bad about it? (contraindications)

A

weight loss, keeps awake, NO SEXUAL DYSFUNCTION

Lowers seizure threshold

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15
Q

Mirtazapine mechanism. Side effect?

A

Alpha 2 blocker, so more adrenergic.

Causes sedation and wt gain

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16
Q

TCA overdose

A

Tri C’s

Cardiotoxic, tachy, hypotension
CNS toxic (coma, seizure)
AntiCholinergic

17
Q

Tx of TCA overdose?

A

ABC
Activated charcoal
Cardiac monitoring

DRUG LEVEL
SODIUM BICARB
BENZOS IF SEIZURE

18
Q

ECT indication

A

Depression refractory, psychotic depression, severe suicidality, mania, psychosis, rapid response required…

19
Q

What does bipolar II disorder need for dx?

A

Major depressive and at least one hypomanic episode

20
Q

Manic episode requires what for dx?

A

3 symptoms of DIG FAST

1 weeks
Impair funcitoning or require hospitalization or psychotic feature

21
Q

Does hypomania impair functioning or cause psychosis?

A

Nope

22
Q

Tx bipolar?

A

Lithium

Anticonvulsants (If renal failure)
Atypical antipsychotics added if above don’t work
ECT could be done

23
Q

Depression history should be sure to look for episodes of mania.

A

B/c SSRI could send to mania

24
Q

Tx for Neph Diabetes Insip if needing lithium?

A

HCTZ and amiloride b/c amiloride blocks sodium channels that allow sodium into renal cells

25
Q

Ebstein anomoly is what?

A

Tricuspid into RV. RV hypoplasia, Regurg. Patent Foramen ovale

26
Q

Lithium side effects?

A

LMNOP

Movement Metallic taste
Nephrogen Diab Insip
hypOthyroid (or any thyroid issue)
Preggers issue (ebstein)

27
Q

Cyclothymic disorder is what?

tx?

A

2 years of hypomanic or depressive symptoms going back and forth

Tx mood stabilizers and psychotherapy (like mini bipolar!)

28
Q

Dissociative identity disorder

Derpersonalization/derealization

A

Id is multiple personalities/identities

Depersonaliztion is detachment from body

Derealization is feelings things around aren’t real )in a dream state)

29
Q

Panic disorder dx when?

Tx?

A

4 symptoms causing panic attack

THEN MALADAPTIVE behavior of fear of them. Worry at least one month

Tx by:
CBT
SSRI
Benzos to stop acute panic attack (bentos can cause rebound)

30
Q

GAD Dx: LENGTH OF TIME?

Tx

Deression and anxiety same monkey in different shirt

A

Worry happening more days than not for 6 months with at least three symptoms!

Tx:
SSRI, SNRI or BUSPIRONE
CBT can help

31
Q

Social anxiety tx?

A

Must be interfering or worrying about them

CBT, SSRI, SNRI

Benzo and Beta blockers may help for performance.

32
Q

Buspirone is what?

A

Second line anti anxiety med. Can be added to help the SSRI and SNRI (which are first line)

Affinity for serotonin and dopamine receptors

DIT Step 2 (77 decks)

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